869 Great Oaks Tr. .
CITY OF'EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
SITE ADDRESS: ; ,, ,
PERMIT SUBTYPE:
TYPE OF INORK:
INSPECTION „ . D•
f 1•'!lh{1P???
1 r.I .!i! fl i 1 1-11
? t I.Int I I I;?: I r?: :
I ,,,ir?kKS i'i 1. t-1 f•t t;lt Mn I ti11 !,I foolFd 4 i i . t l f:,.
APPLICANT:
?
?. y
Permtt No. Permft Holder Date Telephone #
SNV
PLUMBWG
HVAC
ELECTR 950? . O ? ?40V
ELECTRIC
Inapectlon Date insp. Comments
Footings I Og
Foundation
Framing g 2
r
Roofing ?T FZA?2011 /S O? o •/
Rough Plbg. ? 71?
Rough Htg.
l5ul.
Fireplace or
/ ????Q „ Jrf
w?J
Finai Htg.
Orsat Test
Finel Pibg. Pibg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
REQUEST FOR ELECTRICAL WSPECTION Es-oo091-0e
! ? See'nstmctions lor completing this form on back ol yellow copy ?i
0.29502 ? X" Be/ow WorK Co ered by This F7equest
ew Add Rep. TypeoBuilding ApptiancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater EleCtric Heetlng
ApL Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Olher (syecitV) Comrac[or5 Femarks:
Compufe Inspection Fee Below:
# Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
`
Signs N
Inspector5 Use Only: /
' TOTAL
?
Ilfi9ati0n BOOmS ?
/
? a J
2-
Speciallnspection 1
? j
Alarm/Communication THIS INSTALLATION MAY BE ORDE DER DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector. hereby aou9n-in oate
certity that the above inspection has
been made. p,nai oata
OFFICE USE ONLY ?
This request voi0 18 months trom
.?a54 7?
Repuest Dete Fire No. RouB?-?^ Inpsection PeQUiretl
(YOU i'nost o,?.Yinspeclor when reaGyl mspepion Omer Then Rougn-In
Cj Ready Now ? Wnl Natiry Inspector
9 ?S %Y ? `/es ? No Date Reatly
I r",,jrlicensed contractor p owner hereby request inspection o( above electrical work at:
Jo? AtlOress (SVeet Bo? r Rovte No.)
y? 2r/of ,- o.T,? T- City
4- t? G,,9L,v
Senion No. Township Nama or No. Range No. Goun
U T11
Occup n11PnRINT?
./?, oT ??om?5 Pbone Npo ?7
lp0 ! ' 96 13
Power upo?ie? Aatlresrs
?
1 -
tCOr? c<rcrk?c /
?.6.17iyv?M
1 N
BecV I Gontracbr COmOany Name) Conlratlor5 License No.
'
7tic. (
A 0/'v32
Merlin dtlress ICO actor or Owner Making Instellation)
D
?
.
,+
ox 2v6'6' ?' 551z
Authonz SiqnaWre iCOnlra n wner Makinq Ins?allaVOn
? ?? ) Ppone NumDer
?
--
MINNESOTA STATE BOAPD OF ELECTRIGITY THIS INSPECTION qEOUEST WIIL NOT
GtlggrMiEway Bitlg. - Room 5-173 BE ACCEPTED BY THE STATE 80AR0
1821 University Ave., S1. Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone(612)6420800 ENCLOSED.
Address
I.ot _
869 GREAT Op1CS Tg9II,
Zip 5512 3
Blk 1 Sub IISIE [,ooDT.Ablms 41H
THGSE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON.
Date; /l j Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage) V-1,
Permanent steps (main entry)
Permanent driveway
Permanent gas ?
Sod/Seeded grass
Trail/curU damage ?
Porch V/
Basement finish
Deck ?
Please verify with the builder the removal of roof test caps from the ptumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contaa engineering division at 681-4645 before working in righhof-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy e
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE
3830 Pilot Knob Road Permit Num6er:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: LoT : a B L 0 C K: 1 APPLICANT:
869 6REAT OAKS TR KOT NOMES, R A
THE WOOOLANDS 4TH (612) 687-9513
PERMIT SUBTYPE:
SF OWG
TYPE OF WORK:
NEW
auzLoxNG
024301
08/04/94
INSPECTION
FOOTINGS .. .
FOUNDATION ,A
FRAMING RQOfZNG
INSULA7ION FIREPLACE
ROUGH IN PLBG ROUGH IN HTG
FINAL PLBG FINAL
REMARKS: S& W PLBR - MATTHEW DANIELS PLBG
F
L
?
?y
CV
M
29?02 ?? -
Repuest Date
- Fire No. ROUgh-In Inpsgctbn RequireC
(YOa must cell inspepor when ready) InspeCtbn Other Than Rough
?ln
0 qea0y Naw ? WIII No1iy Inspector
8 ? ?7 ? Yes ? No OaleFeatl
I?(licensed contractor ? owner hereby request inspection of above elecirical work at:
Job Atltlress ISlreel. Box or Route No.)
til r 0./f-KS IQ. Cily
L 4 G.?
Seaion No. Township Name or No. Range No. Cou
/}K o'TA
Occupant?PRl T,
/?
l? Phone No.
07 - I513
v T o??s
.
.
Pow upplier
!}KO,-ri ?ttcr2 1 c Adtlress
Eleclri i Goncatlor (COmpany Namel ConVactor5 License No.
- -G _eTj'. c _1NC. L?/? G /Y? Z
Mailin Htldress ?J?IGo trettor or OwnBr Making Installation)
2,
`/L(o!v %
C? x
Aut:on 0 SignaWr iCOOV?y or. ner MaimqlnstailaLOn1
? l? Phone Number
9.5 3
MINNESOTq STATE BOAHO OF ELECTPICITV THIS INSPECTION REOUEST WILL NOT
Griggs-Mitlway BIEq. - Room S173 BE ACCEPTED BV THE STATE BOARD
1821 Univereiy Ave., SL Paul. MN 55104 UNLESS PROPER INSPECTION FEE i5
Phone(612) 642-0800 ENCLOSED.
7' REQUEST FOR ELECTRI?=°l INSPECTION ?°r ` '?"'rq? eaooom-oea
? See mslruclions for compleling roi. ??51t ?? L:^ck ol yellOw copy,
?
9!? 12 ??-• ? a? d.o? •,.. a....
"X" Be/ow Work Covered by rhis Request
ew Adtl R.P. TypeofBuilding AppliancesWired EquipmeniWiretl
tiome aange Temporery Service
Duplex Water Heater Eleclric Heating
Apt Building Dryer Load Management
Comm./Indusfrial Furnace Other (SpeGify)
Farm Air Conditioner
Other(specity) ConVactors Remarks:
Compufe Inspection Fee Below:
# Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool O ta 200 Amps 2,9 °i 0 to 100 Amps DO
Transtormers Above 200 _ Amps Above 100 _ Amps
$i9n5 Inspectorg Use Only. TOTAL
S?
Irrigation Booms I
, !`Q
Special Inspection { ? ?
Alarm/COmmunication THIS INSTALLATION MAY BE ORDE I
SCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO
I, the Electrical Inspector, hereby
f Rouyn-in , ai r
I
certi
y ihat the above inspection has
been made. Ftr,a? oate
(e (r
OFFICE USE ONLY wl.
This requesl voi0 18 mon[hs irom
, PERMIT
? CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55123 Permit Num6er:
(612) 681-4675 Date Issued:
j ,J--
9uI LDI Gr
024301
08J04/94
SITE ADDRESS:
P.I.N.: 10-75879-040-01
869 GREAT OAK5 TR
LOT: 4 BLpCK: 1
TWE WOODLANDS 47N
DESCRIPTION:
9uiidin9,-.Iermit Type SF pWG
Building Wb.r..k Type NEW
UBC OGCUparrcy`y R-3 M-1
GonstruCtion 7yp,e V-N
2oning R-1
Bui.Lding LsngCh v 91
Bui.Lctinq W.idth 58
0,9il:dimg sCories
ra -?
REMARKS:
S& W PLBR - MATTHEW DANTELS PL66
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
$1,042.00
$677.30
$107.5@
$800.00
100
$2,626.80
$215,960
MISCELLANEOUS $1.828.50
7ota1 Fee $4,455.30
CONTRACTOR: - flpplicant - sT. LTC. OWNER:
KOT HOMES, R A 16879513 0001596 R A KOT HOMES
7901 UPPER HAMLE7 CT 7901 UPpER HAMLE7 C7
APPLE VALLEY MN 55124 APPLE VALLEY MN 55124
(612) 687-9513 (612)687-9513
I
T hereby acknawkedge that I have read this application and state that tMe
, infaPmatinn is correct and agree to co•mply with all epplicabia S'tato af Mn..
5t a ?s-°and Gfty of fsqan• prdin.ances.
?/•.
L
-ti- ??n R.??:? i`fi't? tl
? APPLICA T/PERMITEE GNA7URE ISSUED B1?IGNA RE
U
-1
: CITY OF EAGAN
14A JI& 1994 BUILDING PERMIT APPLICATION ?j h?g+? ? 681-4675 ?-'-°? ?
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered sit s , NA energy
calcs.
d?IG 0 1 1994
COMMERCIAL 2 sets of architectural & structu al plans, 1 set of
specifications, 1 copy of energy "--------
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 24 Valuation of work ISSr o00
Site Address:e(og l7re0?
STREET SUITE t
Tenant Name: (commercial only)
LOT _4 BLOCK I SU$D'.eWO0DLibnSOS g* P,I.D. #
Descri tion of cvork: GJ ON? ?Sl ptL_
The applicant is: ?I Owner IS Contractor ? Other (Describe)
uN?. Phone 6?) 9S13
Name _':ioT 1[-? }.??
Property ?
LAST FIRST
Owner pddress t
? - 4Ann?.
4
ET STE #
City LIA2 '1? \JbrL LE1 State Mn? Zip SSA 4 1
Company 5AMP, Ae-=, ?6o?E Phone
Contractor ?
Address License #0oQiso6 Exp.?
City State Zip
Company P•t3.1_ . 'CL?SIe2./J Phone 68`7 ?t?13
Architect/ '
Engineer Name ?P?u- ?-e?r?TrJJ Registration #
Address
City State Zip
5ewer & water licensed plumber i ,1w\- NSC_-j Processing time for
sewer & water permits is two days onc area has been appro ed.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to compl ' h all icable 5tate of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applican •
OFFICE USE ONLY . . ' •
, ,. . ??
B UILDING PERMIT TYP E '° .,. ..
? 01 Foundation 0 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 3wim Pool
? 03 SF Addition ? 08 B-Plex ? 13 Garage/Accessory 0 18 Comm./Ind.
? 04 5F Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck 0 20 Public facility
? 21 Miscellaneous
WORK TYPE
A-31 New ? 33 Alterations ? 35 Tenant Finish ? 31 Demolish
? 32 Addition D 34 Repair ? 36 Mave '
GENERAL INFORMATION
' '
Const. (Actual) VAr Basement sq. ft. 7 d// MWCC System
(Allowable) V,( lst F1. sq. ft. z oi/ City Water ?
UBC Occupancy k-/ 2nd F1. sq. ft. PRV Required
Zoning K_1 Sq. Ft. total Boaster Pump
# of Stories / Footprint Sq. ft. Fire Sprinkler
Length / On-site well Census Code _1l3T
Depth ? On-site sewage SAC Code ?
Census Bldg
APPROVALS Census Unit
Planning Building Assessments
Engineering Variance
REQUIRED IN SPECTIONS
? 5ite
? Wallboard
El footing
Q Final
El Framing
? Draintile
JR Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Depasit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Oed.
Copies
Other
Total:
SAC %
SAC Units
vatuac;a,: $ _Z / S,OCS D
J?
63,b&
loz.D 9
3 7, g
22
?-
20 7
13j
?a
rs&6. g ?.- s i=
J`
3,f- 22.3
?2.4, ?? z ? 3
?z
?
Z ? - .
2l j y
,?
2422 Entm/prise Drive
IAendota Heights, MN 55120
? ?1Q9??'?!' ?w? ??ons • au? rHax?rns (812) 881-1914 FAX:Bg4'-94BB
EIIl
? a17? N'1ollN fle v.mv?++wacs. uuosuse+?ncNirzcrs 625 Hlghway 10 N.E.
elatne, •MN 55434
'k .it * * ' (612) 783-1890 FhX: 789-1883
Certificate nf Survey for. R.A KOT WOMES
889 ORHAT tlAK TRA
i
14.67
fD c 17,674
2.0
? o
7
:Y33 N 2&7 ???'y POQOJg?'? 12.92'
?cnaACE aoe EA?'i, AN
\ \ ^ l ? ?'? 1 ?'N1 f ?
3 33 N 19.5 `• N? DECk ?
DE ra i L iu-???E
EAGAN EfVGINE E{MG DEI'T.
PROPOSEO GRADES SF{0'MJ PER CRAbINC PLNd 6Y: BRW
N01E: BUII?INC DI4KjI51W$ SiOMM ARE FOR HQMZONTAL AND bERi1CAL
LOGAyiON pF S7PVCNRES tlNIY. 5EE ARCf111ECNAL PLANS fOR BUIlDINO
pNp FOUNDAiION bWN510NS.
NOW: CONTRACTOR PUSr VEtiIFY ORIVEWAY OMIGN.
NDTE NO SPECiflC SqL9 UIYE511DATON HAS gEEN CaJP1.EiED' ON TNIS
l0T BY 714E SURNEYOR. IHE SUITABIt1TV Of SOkS To SUPPORT 7H[
SPECILIC HOUSE PROPOSfD IS NOT NF RESPONS031LIN OF 1HE 5URVEMR.
TII$ CERIIFICAIE UOES NO7 WRPORT tt1 5HOW EnSfMENTS
OiHE(1 iHPN 1NOSE 310NP1 oN 1}IE PECOROEO PLAT.
BEMINGS SHOWN ARE a54UlAE0
POSEO HDUSE-ELEVa710N
x oao.oo Denates Exfsting Elevation . ?j???
( ooo.W J Denote9 Proposed Elevatton Lowesi Floor ElevatiDn: P,/_y_L
Denoics Droinoge k Ut11Ity Easement (?& ?
-=? penotes Orainage Flow Dlreotion Top of Block Etevation: o
---e- Denotes Monurnent ' .-8 Oenote5 Offset Nub Geroge Slob ElevaNon: 999r5
LOT 4 , aLaCK ±
pAKOTA COUN'fY, GALNNESOTA
THE WOODLANDS R)UR'TN. A[N3ITIQN
Wo haeby certity l4at thi% lurvey, plan or rapert wos i?THad by me v? uJU`?y d'?wtAD 19
under tlla lowa of Fho Stolo nf ?mnevolo. Oaled 1Mis doy of
SCQi@
R-97%
1 inch .- feet
ot 1 om duly .e9lelored 1-ohd.5u ayo,
?JEER ENGINEERII?r .A,
?t
?
'0?-02-9d 12:20PW P002
* *
* a?e???ea u
? e naer np LAND
* it **
Certificate of Survey for:
2422 Entorprisa Drive
Nsndola Hdyhta, AIN 55720
*No= (812) 881-1814 FJ1M81-908
'"n"6M 826 HIqhw0y tu N.E.
Blalne.ldN C5434
? (gta) M.-Iaeo Fax:783--lSSa
R.A. KOT HOAlIE3
, •.?
EDOE OF POPD PER PLAT? ? ,1 ;y91.35
POND dP-14 \ ?
831.0
HWL=854A L '
/ ? ?>2847 .
. ` N62°Z200wW
? ? '-SURVEY LtlVG
? '
15 ..
?
,?
BY DTHERRS)LA? PROVIDED
ruotE: sef sHEEr
HousE aErarL.
S??Aqy TOP MHUB \
??4` ELWZ886.95
? EIE.PED$T`\
T
\ S23?p
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0? tsi
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? 14
4
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V6 ? 2` ' M 13
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gn3 074,8
i BrFc? r? `---
5. H79.97 ?
GREAT Glp?K '$7L8
TRAIL
5 N b? ?f «? 885.8 Q I
? q
PiitVATE QRiVE °,ydg'CT) .
EASEMEN7-? SESNICE
? INV- 6.3 Q 863A
a. ?y-°Q`?'?saa
f11.00
?$4ZZ? ? ?BENCHMARK
9 I \ EoI.EV.=892?
? Scale: 1 inch = 5o feet
R-959d
srEer z oF z sneers
08-02-94 12:20PM P003 #03?
.?
?
LOT BURVEY CHECRLIST FOR RESSDENTZAL
? SIIILDING ERMIT AP LICAT
$
? PROPERTY LEGAL:
??-?L
?
? W
m -
Date of Surve
:
y
DOCUMENT BTANDARDS
? 0 • Registered Land Surveyor siqnature and company
? ? • Building Permit Applicant
? ? • Legal description
0 • Address
? 0 • North arrow and bar scale
Z? 0 • House type (rambler
split w/o, split
walkout
,
,
lookout, etc.)
0 • Directional drainage arrows with slope/gradient $.
0 • Proposed/existinq sewer and water services
? • Street name
v 0 • Driveway
EIiEVATIONB
Exiatinc
M.?-? ? • Sewer service
0-11 ? 0 • Lot corners
cr 0 .0 • Top of curb at the driveway
0 Q? ? • Elevations of any existing adjacent homes
Prooosed
?0 0 • Garaqe floor
• First floor
Q? 0 ? • Lowest exposed elevation (walkout/window)
0_?? 0 • Property corners
?? 0 • Front and rear of home at the foundation
n o
? ?
?? aI
0
? 0
PONDING AREAB (if a.policable)
• Easement line
• NWL
• HWL
• Pond # desiqnation
• Emergency Overflow Elevation
AIMEN8ION8
entry,
ta?o 0 •
0 ? -
ef o o •
2-1D 0 •
lO 0 •
D 0,'- '13 •
Lot lines
Right-of-way and street width (to back of curb)
Proposed home dimensions includinq any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
Show all easements of record and any City utilities within
those easements
Setbacks of proposed structure and setback of adjacent
existina homes
Ret
Reviewed;
October 1992
"6" R$V
A a 46033,4.J,
R = 175.00
L = 142.22 '
"
"
x 6
TEE
6
42'- 6" DIP CL 52
HYDRANT
HYDRANT 7
"
' 5
- 0 03
= 28`b2
R = 275.00
L = 134.55
g" - 11 1 /4° BENO 1?v 10 TYP.
_' [/ ? ° ? ? 1??-
_.
'
'
A ?--
?; unurY
zo
„ EASEMENT
i
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-
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\
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4
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3
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.
.
,
r,ii?
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.
.
0l, p Lli??.?Jv? ._. ... ?..? ?? ?
? t
? ? ? I-i
, '1?•:? 6°
N50 BEND
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pC _ !7:
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EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER Jeff Schmitt/Debbie Cole PLAN NO. 9-0611-4
SITE ADDRESS Lot 4, Block 1, Woodlands 4th Addition
CONTRACTOR_R.A.Kot Homes, Inc. DATE 8/1/94 PHONE 687-9513
DETERMIME WORKING SQUARE FOOTAGE
3824.82
1. Total exposed wall area 3909.24 sq.ft. x.11 430.0164
2. Total roof/ceiling area 2263 sq.ft x.025 58.838
3. Total floor cant. area 11 sq.ft. x 0.05 0.55
(over unheated enclosed areas)
4. Total floor cant. area 216 sq.ft. x 0.025 5.4
(over unheated exposed areas)
5. Total exposed wall area above the floor.
3564.82
a. Total wall window area ....................438.0579
b. Total door area ........................... 37.8189
c. Total sliding glass door area ............. 71.1022
d. Total fireplace area ...................... 0
e. Total wall framing area (ave. 100)........ 356.482
f. Total net wall area above the floor....... 2661.359
g. Total rim joist area ...................... 260
TOTAL EXPOSED FOUNDATION AREA ................ 84.42
h. Total foundation window area .............. 0
i. Total net foundation area ................. 84.42
Determine t'U" value of each wall seqment.
a. 438.0579 x "U" 0.5 = 219.0289
b. 37.8189 x "U" 0.06 = 2.269134
c. 71.1022 x "U" 0.49 = 34.84008
d. 0 x "U" 0= 0
e. 356.482 x "U" 0.090334 = 32.20253
f. 2661.359 x "U" 0.043215 = 115.0112
9. 260 x "U" 0.040683 = 10.57771
h. 0 x "U" 0.5 = 0
i. 84.42 x "U" 0.076161 = 6.429551
6 .....................................Tota1 420.3591
If item #6 is the same as or less than item #1 you have met the current
energy codes. 2 MCAR 1.16008 A AND O.
TOTAL EXPOSED ROOF/CEILING AREA 2263
j. Total skylight area ....................... 0
k. Total flat roof/ceiling framing area...... 226.3
1. Total net flat roof/ceilinq area.......... 2036.7
Determine ItUlt value for each roof/clg. segment
j• 0 x"U" 0= 0
k. 226.3 x"U" 0.025549 = 5.781809
1. 2036.7 x"U" 0.021801 = 44.40157
7 ...................................TOta1 50.18338
If item #7 is the same as or less than item #2 you have met the
energy code. 2 MCAR 1.16008 A AND 0.
TOTAL FLOOR CANT. AREA (enclosed). 11
o. Total floor cant. framing area (ave. 100). 1.1
p. Total net insulated floor/cant. area...... 9.9
Determine "U" value for each floor/cant. segment.
0• 1.1 x"Uff 0.043879 = 0.048267
P. 9.9 xIIU" 0.024254 = 0.240116
8 ...................................Tota1 0.288383
If item #8 is the same as or less than item #3 you have met the
energy code. 2 MCAR 1.16008 A AND O.
TOTAL FLOOR/CANT. AREA (exposed) 216
q. Total floor/cant. framing area (ave. 10%). 21.6
r. Total net insulated floor/cant. area...... 194.4
Determine "U" value for each floor/cant. segment.
q• 21.6 x"U" 0.044346 = 0.957871
r. 194.4 x"U" 0.024396 = 4.74262
9 ...................................Tota1 5.700492
If item #9 is the same as or less than item #4 you have met the
energy code. 2 MCAR 1.16008 A AND O.
I HEREBY CERTIFY THAT I HAVE CALCULATED THE "U" FACTORS AND "R"
VALUES HEREIN AND THAT TAE BUILDING HERE DESCRIBED MEETS OR EXCEEDS
THE STATE OF MINNESOTA ENERGY CONSERVA T.
?
(signature)
(dat )
,?f ?74
'g?
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
? NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
FIREPLACE INSERT
DATE q-I?)-Q:4
' FEES
HVAC: 0-100 M BTU $ 24.00
ADDTTIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) & oc)
ADD-ON/REMODEL (ExisTUVG coNSTtUCrtoN) $ 20.00
STATE SURCHARGE .50
TOTAL 63, ?)o
SITEADDRESS:Nog C")'C'Pa-L Q2Xr` -TrYi.i 1
OWNER NAME&A• Kf?? IL'V(V\\4Ird2_, TELEPHONE #: 00-92)I?)
?) LUDSQ \C\D?
SIGNATURE PERMITTEE
1994 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
CITY:_v a STATE:??. ' ZIP CODE: 558qCg
TELEPHONE #:
1994 PLUMBING PERMIT (RE$IDENTIAL)
CITY OF EAGAN
3830 PILOT KNUB RD
EAGAN MN 55122
(612) 6814675 `
PLEASE COMPLETE FOR SINGLE FEIMILY DWELLINCrS. AL50, FOR TOWNHOME;,S'?AND'
CONDOS WHEN PSRMITS ARE REQUIRED FOR EACH: UNiT.
- --------- - - ------------------- - - -----------------------
NO. FIXTURES EACH TQTAL.
a SHOWER
WATE12 CLOSE'T
I BATH TUB
4_ LAVATORY
? KTTCI-IEN SINK
LAUNDRY TRAY
HOT TUB/SPA
1 WATER: HEATER
1 FLOOR DRAIIV
Li_ GA5 PIPING OUTLET • minimum - 1-
0 ROUGH OPENINGS '
WATER SOFTENER
PRIVATE DISP. • uax.cty: uc.
U.G. SPRT)VKT :F:R • tiome under const.
ALTERATIOIYS • to euating
WATER TURN AROUND
3.00
3.?
3.00
3.0(1
3.00
3.00
3.00
3.00
3.00
3.00
1.50
5.00
20.00
3.00
20.00 .
20.00
STATE SURGHARGE .50
TOTAL:
,..
SITE .ADDRESSt ?(?9 (cv e c-t CJWCS Tl-?? 14,
_.OWNER NP.ME:
INSTALLER: (s\frTf1A-C--',,,?
t1LJLICC,JJ: I ? >-:J U `?J-8'-OU?¢? ?,r,1 (}."?.
CTTY: STATE: !'ti'?- ZIP CODEs ?SS b L ?
RHONE #: ((,(L ) y L'? 2' 7 3 Q,
2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
cirv oF EAc,aN
7 I? a_? ? 3830 PILOT KNOB RD - 55122
651-681•4875
QL"(?TF[uR?CT.ii:.? __ .=.ua i c
Re /Reoalr Reauiremenh
a 3 regbtered site wrreys ahowtng aq.14 0l bt, sq. tl. of house - 2 copies of plan
and gl rooted areas (2Q74 maxlmum bi ooveraae allowedi t set of energy CalCUlallons for h9oted additlans
? 2 coples of plana (ahow beam R windpw sixes; pouretl fnd. deslgn: etc.) i site wney for exteAOr addiflans 9 decke
> 1 saf of energy ccIculatbna
> 3 copiee W hee preservaMan plan I( loi platted aMer 7/1199 ?
DATE: -I--3 / -O 0 CONSTRUCTION COST: 3 ? o 010
DESCRIPTION OF WORK: a,-,o u? ? lou,e- -/A? C L
SiitEET ADDRESS:
LOT: --4_ BLOCK: SUBO./P.I.D. C
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: S? 4 a /7`f TC FF Phone #:
last FIBt
Sheet Address: oa Vs T2
Ciiy State: up: S S/ 2 Z.
Company: ( a r 1 /oe -ertaC? A s-{?-, -/ a., Phone #: 6 1/
(area coae) -
$h991 Ad(U9SS: /S-?y Z-a ke m/ar.l ?4 r,-e-
ary ? q -, stote:
Company: Name:
Telephone C ( )
Street Address: Regishaflon #: _
City State: Zip:
Sewer/water licensed plumber (H Installinu sawerlwaterl: PFane #:
i hereby acknowledge Ihaf I have read this apPl1cation, state that the hyformaNo^ is a°rtect, and agree to comply wilh all applicoble State
of Minnesota Stalutea and City o( Eagan Ordinances. /?
Signature of APP?? [ ?
?
OFFICE USE ONLY
Certificates of Survey Received
_ Yes _ No
? Pd- -6 S-6 y
lJcense # ?O? ? ? Exp. 3 o
Zip: s S ? Z Z,
?? ?Ck- ?AO
S -'-, ?) ti'o--b6?0
Tree Preservation Plan Received _ Yes _ No _ Not Required I /-)
P.e2
? 2472 EnterpAes Drtve
Mendolo Halghts, MN 55120
(812) 881-1914 FAx:89f 9488
,l? 174?bN ?iQ L"me'01rl• LANDSCA" ARd°neO 825 Hlghway 10 N.E.
Blalne, MN 55434
(612) 783--1890 FAX: 783-1883
i:
Certificote of 5urvey for: R.A KOT W4MES
888 OREAT OAK TRAL
-r
d
o*?
Ar
SC(" ?( CJ?L??4G1_
to' ?x
?,,?, \°'?E ?1 C AM
???Ptf1Nf?
...7
oErA i L
I"C 3d
PROPOSED GRApES S510W1 PER GRAbINQ PLM! 9Y: 8Aw
DEPT.
NOIE: BUNDP70 UWEN90N5 9WNN NK rOR HORIZaNiAI AND 4EAi1CAL
LOCAnON pF S7RUCNR[S ONI.Y. 9EE ARMt[CN1LL PIAH3 Fpt BUIlDINO
µlp FWNUAl10N 011EN410N$,
NOn: CoNttiACTOR MUST vEfUfY ORIVEWAY OESICN, 7NIS CfIt11FlCATE GOLS NOT PURPORT TO SHOW [A9fMEN1$
OMER IHAN 11104E 970Wi ON 111E ftECOR0E0 PUT.
NO7C NO SPEdfiC Shc4 P1YES110AOON HA9 pECN C011PlE1EDON 7NI9
lOT BY THE SMvCY'OR. IHE SIIIIABWTY Of 500.4 TO SUPPqti 1xC gEqRiNp$ gl{pNW qRE AS1tU11E0
SPECMC HOUSE PROPOSTD 14 N01 7FIE RE"9BIUIY OF 1HE SURWYOR.
' PROPOSED Hn114' ELVAl10N
x ooo.oo Denotes Existing Elevation _
( ooaaD ) Denotes Propoaed Elevation Lowest Floor Elevatfon: ?
--- Denoies Dralnogc k Iltllity Easement 999.7
-? Oanotss Drolnage Fiow DlrecHan Top o1 Block Elevotion:--0- Oenotea fAonurnent '
---a- Denot80 Off9et HUb Gorago Slab Elovotion: egg,
L0T 4 , BLOCK
DAKOTA COUNTY, MINNE54TA
TrIE woooLANOS FOuR'rw. Aonirtont
We hpehr car4fy lhOt Ihy fUrvqy, plan or ffDwt waa Dte mad by mo ar unde my diect wpm
under Ote low% e/ Me $tob'or uimewlo. Daled Wf 1-doy Of AULY -A,D. 19
t orn diAy •gittend lend.
n,
Scale
9 incli .- f2Ct
?
- ---? -.... -....w?..
R-97% ~~1?- ?`'? n ' !f6'b2rsa 12:20rrn ronz
? ? 570
2007RESIDENTIAL BUILDING rExMnT arrLicnTioN
City Of Eagan
3830 Pilot I{nob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements
3 registe2d site surveys showing sq. fl. of lot sq. ft. of house; and all roofed areas
(20Ya maximum iot ooverage albwed)
1 Soils Report if proposed building is to be placed on disturbed soil
2 copies of plan showing beam 8 window sizes; poured found design, eic.
1 set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted after 711/93
Rim Joist Defail Options selection sheet (buildings wifh 3 or less units)
Minnegasco mechanical ventilation form
RemodeVReoairReouiremen4s Offce llse'.Onlv
2 copies of plan showing foofings, beams, joisis CeRof Survey Recd' _Y: _ N
1 set of Energy Calculations for heated addNOns Soils ReFoA - _Y _N
1 site survey for addilions & decks Tiee PresPlan Recd Y. N
Addifion-indicateilon-sifesep5csystem TreePresRequlred - _Y;_N
OnsiteSepticSystem _Y _N
Plans are considered public infarmation unless vou state they are trade secret and the reason.
C ?c
Date Construction Cost
Site Address e,9 7' O Unit/Ste #
Description of Work /
Multi-Family Bldg _ YZN Fireptace(s) _ 0 _ 1 _ 2
Property Owner Telephone # e?
Contractor
Address ?o ,??
City --?Cr / / 1
State x-? Zip -iD?G 7 - Telephone # e/4 (/ ?? 0?•1o?C
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissionrype) Submitted . . Submitted
• Energy Envelope Calculations Submitted In the lasT 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval ofplans.
",??i9 /? ?,,e ,t'C-' ,--
Applicant's Printed Name
Applicant's Signature
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
. ., .
CITY OF EAGAN
4 U 0 1 ? 3830 PILOT
651-88/4675 55122
New ConshucMOn Reaulremenh Remodel/Rooc
s repi:tered site wrveya ahowlnp aq. tl of Iot, sq. tt. of house
and pH roofed areas !TQ% maxlmum bt covemae allowed)
2 coples of pbna (ahow Deam & winCOw alzes; poured fnd. deslgn: etcJ
I ae1 OI energy CaIWIOtions
9 caples of hee preservaflon plan H lot plalfed alfer 7/1/93
DATE: _9 - /7 - 04
DESCRIPTION OF WORK: ole- c ?
STREET ADDRESS:
f
s oopie: a plan
1 aei of energy catculaHOns for healed admHOna
1 sile wrvey tor exAedor addlHons d decb
?
CONSTRUCTION COST:
LOT: -?-A BLOCK: ? SUBD./P.I.D. A: ? ?0C113A 1 (1 tnCL i,?
rrtorEarv
OWNER
COMRACTOR
Sc??,7?- Te fIC Phone#: 6S6- 80611
Laal Flrsl
Sheet Address: 8&9 ln rea f" oq ,(?:S r`1 //
Cly E019 -7-, State:
Zip; SS / z z
company: Ca CV..s-F,-? Phone a• ????'
?(areo code)
She9t Address: I S? -7 Y L q ke ..t LlCense A?d 7'r ExP
Clty E-qg 1, State: ilp: S S-/Z
ARCHITECT/
ENPINEER Comparry: Name:
Telephone C ( )
Sheef Address: RegisfraNon Y:
City
State:
Zip:
Sewedwater Iicensed plumber (If Installina sewerfwaterl: Phone #:
I hereby acknowiedge Ihat I have read Ihis applkatbn, slate 1haF the Intortnatbn is cortect, and ogree fo compry wNh all appOcable Slate
of Minnesota Sfafufes and CHy of Eagan Ordinances.
Signature ol Appliwnt
OFFICE USE ONLY
Certificates of Survey Recelved _ Yes _ No '
6
Tree Preservation Plan Received _ Yes _ No _ Not Required
i" -
3/00
Z
OFFICE USE vnL. •
p 31 Ext. Alt • Muw
BUILDING PERMIT SUBTYPES 13 i6-pleX ? 21 P°rch (3'see') ? 33 Ext• Att- SF
17 Garage 22 Porch/Addn. (4-sea.) ? 36
MuIU
? 01 Foundation ? 007 8 o ?
06-P?X 0 p 23 Poroh (screened)
? 02 SF Dwellin9 ? 07_P?X 18 Deck 24 Storm Damage
? 03 01 of _ Plex 0 10 08-P?X 0 19 lower Level 0 25 Miscellaneous
p 04 O2-(II9X Pibg Y or _ N ? 8?9.
? 05 03-plex ? ? 11 12 10-Plex 12-Plex ? 20 Pool ? 30 A???ry
? 06 04-Pl8x
WORK TYPE ? 43 Reroof
? 31 New ? 36 Move BId9• p 44 Siding
32 Addition ? 37 Demolish (BId9)' ? 45 Fire Repair
rs
? 46 Windowsl?it
p 33 Alteration 0 42 Dem lish (Foundation) ?i?nt for demolition p
p 34 Repair • Give PCA handout to app
GENERAL INFORMATIO?N SQ.ft.
# of Stories ?- ? s4• ft• -
SAC Code Lenglh ?- Footpnnt sq. ?• ?
No. of Units Width ---- Census Code
No. of Buildings --?- gasement sq. ft. -- MC/ES System ---
Const. (Actual) --??- Main level sq. ft• ---- City Water ----
(Allowable) -g id? Sq. fi. ?- Booster Pump -?-
UBC Occupancy Sq. n. ?-- pRV .---
Zoning Fire Sprinklered -
MISCELLANEOUS INSPECTIONS
? StuccolStone
ppPROVALS
Planning ?---
permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
qcct. Deposit
g1W Permit
S/W 5urcharge
7reatment PI.
Park Ded.
Trails Ded.
Other
Copies
Building
? -
? Engineering Variance
Valuation: $ 1 ??
Total:
SAC Units
% SAC
' . 2412 Enterpr(sa Drtve
Mendalo Heights, MN 55120
,cH??EF? ,u,o .w?swu • rnu r?aum?s (012) 861 ^1914 F'Ax:98t 9488
?? jM'yV1N ne wro rvr'Nas. w+uscnre AAaurecn 625 Hlghway 10 N.E.
ah ,R. Blaine, •MN 55434
* u ?- • (612) 783--1e8o Fnx:M-M83
Certificote of Survey for: R.A. KOT W4ME5
888 OREAT OAit TtiAlL
oETarL
I'?-3d
PROPOSEO QtMES SHO'hN PEA CRAb[NU PW! BY: BRW
deG1 ?QC1`
0
V°?EAGAN.
???1?.'J?If D
,
r+arc: eimnwo owC+sa+s srwrM AM Fat NoxiioHTAL uro uErancu.
LOCA710N pF SIRUCNRCS tlNIY- 9EE ARC197ECflIAL PUNS fOR BIptDINO
AND FQUNOAIION W4fNSI0N5.
lIOTF: CONMACTOq MUST 4FHifY ORWEWAY Of'?CN. TIi5 CERRFlCAiE DDES NUT WRPOR1 TO SHOW KASEMENIS
ORIEA iHAN 1NDSE 910qN o:J 71iE PECCRf1E0 PIAT.
NDiE NO SPEOfiC SqL3 WYESDOAPON HA8 9ECN CMIPLETEDCN iN13
tOT BY iHE SUIiVEYOR. iF1E SVItABLL1TY Of SqLS To SUPPOfti THE BEMINGS SNONN ARE AW11AE0
SpEqF7C FbUSE PROPOSiD IS NOl SNB REBFONSOKITY OF 1HE SURVEYOR
PROPOSED HnIJSF ELEVA7ION
x ooa.oo Denotes Exlsting Elevotion
( opq0O ) Denotes PrOposed Elevatian Lowesi Floor Eleva[{on:
Denotes Drotnagc ae Utllity Easement ??.? ?
? Denotes Dralnage Fiow Dlrection Top of Block Elevatton:
---1111- Denoies iAOnument ' ?
---9- Denotes Offset Hub Garage Sab Eiovation: ?
LOT 4 ? BLOCK 1 TNE WOODLANDS flDUR7N. ADf31TIQN
pAKOTA COUNTY, MiNNES07A
Wo hdehy aatUly Nat thiy fwvey. oan Ot rapor) was p, pand by me or vnd?r my d'recl apDcr?delayn-d_` I oM duly reqblored lomd.5 ayw
T ?
undol Vla Iawa of tha Stuw or unnssola. Oatad 'l+? H doy of JULY A.D. 1e E . /1
scale: 1 inch .- f2@t
R-97%
r
I0P-b2-94 12'20PM' P002 ft
3
-Cp35,7o 2004 RESIDENTIAL BLTII.DING PERMIT APPLICATION
' City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
??9 g,?;
C4,1 " -3Ig 16y
New ConsWction Reoui2ments RemodelRteoair Reaui2ments Dffica Use On".11- 3 registered site suneys showing sq. R. of bt, sq. fL of house; and all roofed areas 2 wpies W plan CeR ofSUrvey:Reod"
_^?Y =N
(20% maximum lot coverage allowed) 1 set of Energy CalculaUOns tor heated addNOns T29 ?"re3XPlan'?, "".Y N
2 copW of plan showing beam & window sizes; poured found desyn, etc. 1 sde survey for addiGOns & decks Ytee P2i2eGUlred'?- ' ?' '_ N
1 set o( Energy Calculations Addrtwn - indicate Aonsife septic system Onsite
3 cop"ies of Tree Preserva6on Plan'rf lot platted afiar7/1/93
Rim Joist Dehil Options selectim sheet (bidgs with 3 or leu unifs
Date 0 l 02. l Q 0 Construc[ion Cost 3-z,fX=?-
Site Address k 9 GKm.F?' Unit/Ste #
4 -46 S
Description of Work ¢ [/ C 0/.z ,-2S C-E-O
Multi-Family Bldg _ Y? Q, Fireplace(s) _ 0 _ 1 _ 2
PropertyOwner Telephone#(leSl ) (oelv' J&631.
Contractor
Address /ygb ?
RKF .?i ^/
City C.Hdir,h.r?i t3 erc.
State ?(sI? Zip ,5'??/O Telephone # (1S? ) <?176 oZG6 ?
' :c ' i2. 1-190- 9906
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . ResidenGal Ventilatlon Calegory 1 Worksheet ,• New Energy Code Worksheet
(J submission iype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% pian review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #?---)
FET
Telephone # (?I u )
11 Il MAR ?
I hereby apply for a Residential Building Permit and aclrnowledge that the inform?on is com`?j l?and ?curate;
that the work will be in conformance with the ordinances and codes of the City'o an and the Sfate of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
(?,, C SN/T? kYL ef,,Grs?ians ZAc
Applicant's Printed Name
Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
y 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45
? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ?46
? 34 Replacement `Oemolitlon (Entire Bldg) - Give PCA handout to applicant
?
Valuation ?00 D
Occupancy n-?
MCES System _
Census Code y3 `/ Zoning 1?- 1 City Water
SAC Units Stories - Booster Pump _
# of Units ^ Sq. Ft. ? PRV _
# of Bidgs ? Length - Fire Sprinklered _
Type of Const ? Width -
_ Footings (new bldg)
_ Footings (deck)
_ Footings(addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing -
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
Siding
Fire Repair
WindowslDoors
REQUIRED INSPECTIONS
Final/C.O.
? FinallNo C.O.
_ Plumbing
HVAC
Other
Pool Ftgs _ Air/Gas Tests Final
Siding ? Stucco _ Stone _ Brick
? Windows
Retaining Wall
_C/Ph.Anr'/
Approved By: /1164 v//// , Building Inspector 12??y,p?e4?j,?y?2 ??yMr)?F_
---- ------------ --- - ------- - --------
Base Fee v
Surcharge
Plan Review
MCIES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Totai
A,
4. --f C1ty O? ?ap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
2008 MECI-IANICAL PERMIT APPLICA
Date: I ?J?/ U pV Site Address:
Tenant:
? -
Fo; ?Jiiir:: Uee ------ ?
; ?7 ?
? Permit
50 -??
? Permit Fee:
I ?
? Date Received: ?
r ?
j Sta???r pi T 1111? inl?l
Lu=-?-
OEC 15 2008
Suite #:
RESIDENT/OWNER Name .,?/,(? , ( G??,w, . ? Phone:? % '?f ??
L
C
?
Addre ss / City / Zip:
CONTRACTOR Name: License #:
'!i , ,
Address: 3arsi W 1; SW1jEPAlIfW2y
cit: Suite 120
y • State: Zip:
9
5337 - -
,
c
Phone:?"?S a. 21L/ L'G1?? ? Contact Person: ?J'?t S, a VL
TYPE OF WORK _ New __X__ Replacement _ Add'Rional _ Alteration _ Demolition
Description of work:
NOTE: Both roof mounted and giound mourited mechanical equipment Is requlred to
be screened by City Code: Please contact fhe hlechanical /nspector oc one of the
Planners for informaHon on ermitted sc'reenin methods.
PERMIT TYPE RES/DENTIAL COMMERC/AL
_X FUmace _ New Construction _ Interior Improvement
Air Condidoner _ Install Piping _ Processed
Air Exchanger _ Gas Exterior HVAC Unit
_ Heat Pump HVAC units must be screened
Under / Above round Tank
g C_ Install / Remove)
_ Other " When installing/removing fank(s), qll for inspection by Fire
Marshal and Plumbin Ins ctor
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fife 1'8pair (replace bumed out appliances, ductwork, etc.) (includes $.50 State Surcharge)
--?l
$ TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x 1%
$50.50 Minimum (includes State Surcharge)
- If Permit Fee is less than $1,000, surcharge is $.50. Perrnit Fee
- If Permit Fee is >$1,000, surcharge increases by $.50 for each =$ State Surcharge
$1,000 Permit Fee (i.e. a$1,001-$2,000 Permit Fee requires a$1.00 surcharge).
$ TOTAL FEE
I herchv arlrnn?Aed?o f6e? -W? ?..u.......?:.... :.. _"_`' .. . .. . ... . . _
---- ---- -- ????r=•= a.,v acw,a?c, umL uro wonc wni oe in comormance vnm [ne ominances anU cotles of the Gity of Eagan; that
I understand this is not a pertnit, 6ut only an applicatlon for a permit, and work is not to start without pe it; that?the work I)be in accoMance with the approvstl
plan in Ne case of work which requires a review and approval of plans.
_' -?-?
X X -'? ?
??
Applicant's Printed Name AppllcanYs Signature
f%
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough In _Air Test Gas Service Test In-floor Heat Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114004
Date Issued:09/10/2013
Permit Category:ePermit
Site Address: 869 Great Oaks Tr
Lot:4 Block: 1 Addition: The Woodlands 4th
PID:10-75879-01-040
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required by law in ALL single family homes .
Fireplace:1 / FAMILY ROOM / HEAT N GLO PIER-36TRB-IPI
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
John Rhody
869 Great Oaks Tr
Eagan MN 55123
Hearth And Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 638-3309
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168421
Date Issued:04/20/2021
Permit Category:ePermit
Site Address: 869 Great Oaks Tr
Lot:4 Block: 1 Addition: The Woodlands 4th
PID:10-75879-01-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
*Roof permits issued between December and March will be inspected in the spring or when weather warms up.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
John & Janice Rhody
869 Great Oaks Trl
Eagan MN 55123
Norwest Contractors Inc
1370 Crestridge Lane
Eagan MN 55123
(763) 420-8268
Applicant/Permitee: Signature Issued By: Signature